Wong’s Nursing Care of Infants and Children, 12th Edition —
Chapter 1: Perspectives of Pediatric Nursing.
1. Chapter 1 — Subtopic: Family-Centered Care
Key Concept: Family as the constant in pediatric care;
advocacy.
Stem: A hospitalized 4-year-old’s parents want to stay overnight
to help with routines. The nurse’s best response is to:
A. Limit visiting to daytime to promote rest.
B. Encourage parental participation in care and decision-
making.
C. Ask them to rotate nights with other family members.
D. Suggest they go home and return in the morning.
Correct Answer: B
Rationales:
• Correct: Family-centered care recognizes the family as the
constant in a child’s life and promotes collaboration and
participation in care; nurses should encourage family
involvement. Google Books
• A: Restricting visits without clinical reason undermines
family-centered care and may increase child/family stress.
• C: Forcing rotation needlessly fragments parental support
and may reduce continuity.
, • D: Telling parents to leave ignores family needs and
advocacy responsibilities of the nurse.
Teaching Point: Include families in care and decisions — they
are the child’s primary support.
2. Chapter 1 — Subtopic: Advocacy & Ethics
Key Concept: Nurse’s role as family advocate.
Stem: During discharge teaching, parents report financial
barriers to obtaining prescribed inhaler medication. The nurse
should first:
A. Document refusal of treatment due to cost.
B. Notify the provider and explore affordable
alternatives/resources.
C. Tell parents to seek medication at the nearest pharmacy.
D. Ignore cost concerns; focus on administration teaching.
Correct Answer: B
Rationales:
• Correct: Advocacy includes identifying barriers
(financial/social) and coordinating alternatives/resources
with the team to ensure safe, equitable care. Google Books
• A: Documenting is necessary but not the first patient-
centered action.
• C: Directing parents without help may be ineffective; nurse
should assist coordination.
, • D: Ignoring barriers risks nonadherence and unsafe
outcomes.
Teaching Point: Advocate by identifying barriers and
coordinating affordable, safe care options.
3. Chapter 1 — Subtopic: Therapeutic Relationship
Key Concept: Building trust with older
children/adolescents.
Stem: An adolescent with chronic asthma refuses school PE.
Best nursing approach to build rapport and promote adherence
is to:
A. Lecture about risks of inactivity.
B. Privately explore the adolescent’s reasons and involve them
in planning.
C. Ask parent to insist attendance.
D. Tell the adolescent that missing PE will worsen grades.
Correct Answer: B
Rationales:
• Correct: Effective therapeutic relationships use private,
nonjudgmental exploration and shared planning to
empower adolescents and improve adherence. Google
Books
• A: Lecturing is paternalistic and unlikely to change
behavior.
, • C: Bypassing the adolescent undermines autonomy and
rapport.
• D: Threats damage trust and fail to address underlying
concerns.
Teaching Point: Engage adolescents in confidential,
collaborative planning to support adherence.
4. Chapter 1 — Subtopic: Health Promotion —
Immunization
Key Concept: Addressing vaccine hesitancy safely.
Stem: A parent expresses fear about vaccine safety. The nurse’s
most effective evidence-based action is to:
A. Insist vaccination proceeds immediately.
B. Provide empathetic listening, correct misinformation, and
offer credible sources.
C. Dismiss concerns as ignorance.
D. Offer to delay all vaccinations indefinitely.
Correct Answer: B
Rationales:
• Correct: Empathetic listening plus clear, evidence-based
education and trusted resources increases vaccine
acceptance while respecting family autonomy. Google
Books
• A: Insistence risks alienation and refusal.
Chapter 1: Perspectives of Pediatric Nursing.
1. Chapter 1 — Subtopic: Family-Centered Care
Key Concept: Family as the constant in pediatric care;
advocacy.
Stem: A hospitalized 4-year-old’s parents want to stay overnight
to help with routines. The nurse’s best response is to:
A. Limit visiting to daytime to promote rest.
B. Encourage parental participation in care and decision-
making.
C. Ask them to rotate nights with other family members.
D. Suggest they go home and return in the morning.
Correct Answer: B
Rationales:
• Correct: Family-centered care recognizes the family as the
constant in a child’s life and promotes collaboration and
participation in care; nurses should encourage family
involvement. Google Books
• A: Restricting visits without clinical reason undermines
family-centered care and may increase child/family stress.
• C: Forcing rotation needlessly fragments parental support
and may reduce continuity.
, • D: Telling parents to leave ignores family needs and
advocacy responsibilities of the nurse.
Teaching Point: Include families in care and decisions — they
are the child’s primary support.
2. Chapter 1 — Subtopic: Advocacy & Ethics
Key Concept: Nurse’s role as family advocate.
Stem: During discharge teaching, parents report financial
barriers to obtaining prescribed inhaler medication. The nurse
should first:
A. Document refusal of treatment due to cost.
B. Notify the provider and explore affordable
alternatives/resources.
C. Tell parents to seek medication at the nearest pharmacy.
D. Ignore cost concerns; focus on administration teaching.
Correct Answer: B
Rationales:
• Correct: Advocacy includes identifying barriers
(financial/social) and coordinating alternatives/resources
with the team to ensure safe, equitable care. Google Books
• A: Documenting is necessary but not the first patient-
centered action.
• C: Directing parents without help may be ineffective; nurse
should assist coordination.
, • D: Ignoring barriers risks nonadherence and unsafe
outcomes.
Teaching Point: Advocate by identifying barriers and
coordinating affordable, safe care options.
3. Chapter 1 — Subtopic: Therapeutic Relationship
Key Concept: Building trust with older
children/adolescents.
Stem: An adolescent with chronic asthma refuses school PE.
Best nursing approach to build rapport and promote adherence
is to:
A. Lecture about risks of inactivity.
B. Privately explore the adolescent’s reasons and involve them
in planning.
C. Ask parent to insist attendance.
D. Tell the adolescent that missing PE will worsen grades.
Correct Answer: B
Rationales:
• Correct: Effective therapeutic relationships use private,
nonjudgmental exploration and shared planning to
empower adolescents and improve adherence. Google
Books
• A: Lecturing is paternalistic and unlikely to change
behavior.
, • C: Bypassing the adolescent undermines autonomy and
rapport.
• D: Threats damage trust and fail to address underlying
concerns.
Teaching Point: Engage adolescents in confidential,
collaborative planning to support adherence.
4. Chapter 1 — Subtopic: Health Promotion —
Immunization
Key Concept: Addressing vaccine hesitancy safely.
Stem: A parent expresses fear about vaccine safety. The nurse’s
most effective evidence-based action is to:
A. Insist vaccination proceeds immediately.
B. Provide empathetic listening, correct misinformation, and
offer credible sources.
C. Dismiss concerns as ignorance.
D. Offer to delay all vaccinations indefinitely.
Correct Answer: B
Rationales:
• Correct: Empathetic listening plus clear, evidence-based
education and trusted resources increases vaccine
acceptance while respecting family autonomy. Google
Books
• A: Insistence risks alienation and refusal.
